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Thin gingival phenotype is one of the major causative factors of gingival recession type 1 which can result in hypersensitivity, discomfort, and compromised esthetics. This study assess the efficacy of increasing the gingival thickness from thin gingival phenotype to thick gingival phenotype in the treatment of patients suffering from gingival recession (RT1) and maintenance of results using either connective tissue graft or de-epithelized free gingival graft after non-surgical periodontal debridement compared to non-surgical periodontal debridement alone.
This parallel arm randomized controlled clinical trial study will include systematically free patients with thin gingival phenotype. They will be randomly allocated to three equal groups. Group A (test group, n=10) will receive non-surgical periodontal treatment and connective tissue graft using tunneling technique, Group B (test group, n=10) will receive non-surgical periodontal treatment and partially de-epithelized free gingival graft, while group C (control group, n=10) will receive non-surgical periodontal treatment only. After 3, 6 and 12 months gingival biotype will be clinically assessed (1ry outcome). This parameter will be recorded at baseline, 3, 6 and 12 months. The 2ry outcomes will include recording of recession depth, plaque index, bleeding on probing, keratinized tissue width . Postoperative pain and swelling will be recorded daily by the patient for the 1st two weeks post-surgically. Postoperative instructions and medication will be given to the patient. All readings will be carried out by a calibrated outcome assessor who will be masked. Follow-up will be performed to assess the outcomes and to ensure performing proper oral hygiene. Data collected will be tabulated and statistically analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Connective tissue graft | Active Comparator | Patients will receive non-surgical periodontal treatment and connective tissue graft using tunneling technique |
|
| Free gingival Graft | Active Comparator | Patients will receive non-surgical periodontal treatment and partially de-epithelized free gingival graft |
|
| Non surgical procedure | Active Comparator | Patients will receive non-surgical periodontal treatment only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Connective tissue graft | Procedure | non-surgical periodontal treatment and connective tissue graft |
|
| Measure | Description | Time Frame |
|---|---|---|
| Gingival phenotype change | determination of the change in gingival thickness in mm using periodontal probe | at baseline 3,6 and 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Keratinized tissue width | determination of Keratinized tissue width in mm using periodontal probe | at baseline 3,6 and 12 months |
| Root coverage esthetic score (RES) | It is a scoring system to assess the level of gingival margin (GM),marginal tissue contour (MTC),Soft tissue texture, Mucogingival alignment (MGJ),Gingival color The score is 0,1 and 3 where 0 is the minimum and 3 is the maximum |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zainab Hafez, Lecturer | Contact | +01221334637 | zeinab.hafez@miuegypt.edu.eg | |
| Shahinaz Al ashiry, Asso. Prof | Contact | shahinaz.elashiry@miuegypt.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Zainab Hafez, Lecturer | Lecturer, faculty of oral and dental medicine misr international university | Principal Investigator |
| Shahinaz Al ashiry, Asso. Prof | Associate professor, faculty of oral and dental medicine misr international university |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of oral and dental medicine, Misr international university | Recruiting | Cairo | 12345 | Egypt |
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| ID | Term |
|---|---|
| D005889 | Gingival Recession |
| ID | Term |
|---|---|
| D005882 | Gingival Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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Three parallel groups
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the patient won't know the type of the procedures done to him The outcome assessor won't know which group he the is assessing it's results
| Free gingival graft | Procedure | will receive non-surgical periodontal treatment and partially de-epithelized free gingival graft |
|
| Non surgical | Procedure | non-surgical periodontal treatment only |
|
| at baseline 3,6 and 12 months |
| Yahia Amer, Lecturer | Lecturer, faculty of oral and dental medicine misr international universit | Principal Investigator |
| D055093 |
| Periodontal Atrophy |